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Text File  |  1995-12-30  |  341b  |  11 lines

  1.  
  2. TO:    [name of consumer agency]
  3.  
  4. Permission is hereby granted for [name of consumer reporting
  5. agency]     to discuss the information about me contained in
  6. their file in the presence of     [name of third party]
  7.  
  8.                                      _______________________
  9.                                            [Signature]
  10.  
  11.